There have also been significant changes to the access systems used in general practice over recent years. This has been due to factors such as the increasing pressure to deliver immediate access to appointments and technological advances.

There has been very little research done to understand how these changes have impacted continuity of care. A better understanding is needed in order to inform healthcare policies and quality improvement going forward.

We are asking for one participant from each general practice; any member of staff or student can participate.

If you participate, we will ask that you:

1. Measure the continuity of care in your practice using the Bristol Continuity of Care Calculator. You will receive training on how to use this tool and a user guide, so doing this should take no longer than 30 minutes.

2. Answer a questionnaire on the access systems used at your practice. You will need some input from the leadership team at your practice to do this, but it should take no longer than 30 minutes.

3. Consider participating in an interview, where we would discuss your thoughts on these topics in more detail. We will only interview a select number of participants. This would be done online at a convenient time for you.

We will also collect some demographic information about participating practices using publicly available resources.

If you take part, you will:

• Learn how to measure continuity of care in your practice and receive the tools to do so

• Receive a bespoke practice report to see how your continuity scores compare to other practices

• Fulfil CPD/portfolio requirements and be named as a collaborating author on resulting publications (subject to journal guidelines)

• Help us gain a better understanding of how we can deliver better continuity of care to our patients

• Access additional leadership opportunities, for example by becoming a PACT Champion